Implementation Action Plan --- 2013 - 2016€¦ · CHNA Process Utilized with action steps Gather...

Campbell County Memorial Hospital and Campbell County Public Health

Community Health Needs Assessment --- A Process for Improvement

Implementation Action Plan --- 2013 - 2016

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Community Health Needs Assessment -- Table of Contents

PAGE Purpose 3. Process and Acknowledgements 4. CHNA Process Chart 5. Walking through the assessment process‖ 6. CHNA Process 7. CHNA Overview of Benefits 8. About Campbell County 9. Medical Service Area Population & Future Projections 10. CCMH Medical Service Area, Population by Age/Change 11. CCMH Medical Service Area, Population by Race/Ethnicity 12. CCMH Medical Service Area, Employers and Major Industry 13. CCMH Medical Service Area, Social and Economic Indicators 14. Campbell County Health Rankings – 2012 Wyoming Rankings Study 15. Health Outcomes, Morbidity, Health Factors, Health Behaviors 15. Clinical Care, Social and Economic Factors, Physical Environment 16. Campbell County Health Status Key Comparisons 17. A. Risk Factors 17., 18 B. Chronic Disease Factors 19. C. Lack of Health Care Access 20. D. Nonuse of Preventative Services 21. E. Oral Health 22. F. General Health Measures 23. Setting Action Plan: ―Low Hanging Fruit‖ 24. Areas Where We Are Doing Well 25. Identified Areas for Improvements 26. Priorities 27. Action Plan 28., 29 Next Steps 30. Appendix: List of Participants 31., 32, 33, 34

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Purpose

The purpose of this Community Health Needs Assessment (CHNA) is to provide Campbell County Memorial Hospital and Campbell County Public Health with a functioning tool that meets the federal guidelines and provides strategic insight for resource development, clinical development, and regional and County networking and collaboration. The results of the CHNA will guide the development of Campbell County Memorial Hospital‘s community benefit programs and implementation strategy. It is anticipated that this report will not only be used by the hospital, but also by other community agencies in developing their programs to meet the health needs of Campbell County. The CHNA is a community asset, providing information that will assist many organizations in strengthening the impact and effectiveness of their individual services toward improving health in our community. The CHNA was performed with the assistance of The Champion Group, a healthcare consulting firm with offices in Seattle Washington.

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Process and Acknowledgements

Campbell County Memorial Hospital has been dedicated to the region‘s health through its distinctive health educational programs and services. The hospital and other community entities have been working together creating and sustaining innovative programs that address complex community-wide health issues. In 2012, Campbell County Memorial Hospital (CCMH) embarked on the Community Health Needs Assessment project in joint research and study with Campbell County Public Health. The project addressed Campbell County Health Needs and defined health priorities and key actions to improve health status in Campbell County. Campbell County Memorial Hospital and Campbell County Public Health launched the Community Health Needs Assessment in 2013 by inviting a comprehensive representation of community entities and assets to join the assessment stage of the project. Three Community Meetings were held between January and May 2013. Additionally, a community survey was conducted gathering rich primary data from every community sector. There were over 400 completed surveys. A second qualitative survey was completed through the Campbell County Chamber of Commerce to solicit input from the business members. Information was gathered at each community meeting including input from the following sectors: Community at Large Sector Institutions/Organizations Sector Health Sector Work Site Sector Schools Sector The Community Assessment Group wants to acknowledge the many community participants who worked to gather data and plan for a healthier community. The organizations are included in the Appendix.

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CHNA Process Utilized by CCMH and PHN

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CHNA Process … Walking through the Action Steps utilized in the

Assessment Process

Steps: Snapshot of Action Steps: Assemble Team Task Force:

10-12 key community representatives from diverse sectors to raise awareness if issues. Members must be individuals who can appropriately support the work. Health Department is required participant. The hospital functions as leader and facilitator.

Need to generate funding opportunities Provide opportunities for appreciation, evidence of impact, momentum. Task force may include leaders in sectors

Develop Team Strategy

Strategy is two-three meetings: Kick-Off and Follow-up Meetings Divide up into Sector Sub-group Task Forces (minimum 2 members per sub-group) to review the data and report

back to whole team. Review their policies, bylaws, and standard operating procedures to create a decision-making process Project decision based on majority vote Determine methodology, desired outcomes Focus on agency policy, systems, environmental change

Review 5 Sectors : Elements of a Community Task Force Team

1. Community at large Sector: The UMBRELLA SECTOR overall of the others may include the Police Chief, Mayor or City Council Member (areas that impacts food access, social, built environments, walkability, transportation, tobacco-free, personal safety)

2. School Sector: School Principal/Superintendent (Includes primary and secondary learning institutions, private and public)

3. Health Sector: Hospital CEO, Health Promotion Leader, Health Insurer, Physicians, Foundation Executive (preventative care, treatment, emergency services, private doctors)

4. Community Institution Organization: Faith Leader, Senior Centers, Boys and Girls Clubs YMCA, Parks Recreation Director

5. Work Sector: Chamber Director, Business/Corporate Leader (places of employment, government, County Department Development, restaurants, retail)

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CHNA Process Utilized with action steps

Gather Data for each Sector Involves organizing your sector task force Assessment Phase: gathering data from each location within your sector of influence. (i.e. Community at Large:

could be county government, news media, restaurants, grocery stores, health department) Gathering community demographic data and applying to individual sector assessments. Analyzing data, answering questions about the community, talking to constituents, community leaders to gather

additional information, circulating through the community eyes on, working through the questions as a sector team, reviewing policies and procedures and effectiveness, identifying problem areas, implement policy changes, put policies in place to document change, and bringing back to the larger group your sector changes.

Ability to use focus groups, walkability audits, telephone survey, policy review etc. Brainstorm within the sector…and with other sector leaders/team members I.e. CDI may indicate that the prevalence of childhood obesity is higher in your county compared to a neighboring

county. Use that data, your sector team to communicate to the large task force to begin to devise strategies on how to address that evidence-based need. Use state and national comparisons for strategic dialogue to identify priorities.

Collect data from at least 13 sites for each sector Keep good files, catalogue all data files to ensure thoroughness and efficiency

Review all Data: Data comes in many forms Discuss the relationship between sectors. Review collected data for each site. Each team discusses findings and priorities (1-5 scale) identifying evidence to

support Gather teams to brainstorm and review findings Designate a data manager in sector responsible to gather and organize data Each sector reviews each module questions (Handout to each Sector Chair) Each sector prioritizes each module (Handout)

Build Community Action Plan and Implementation Create a summary statement across all modules Reference all sectors and module scores List communities assets and needs (Low medium and high) for each module Across all data for needs and assets, identify strategies that are in place and missing to develop the plan. Complete a Community Health Needs Assessment Improvement Plan Draft Craft strategies for the action plan by primary contact for action, timeline for completion by priority and allocated

resources. Identify others who need to be brought into the project

Evaluation Process: Review quarterly and update annually for three years.

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Overview of Assessment … Benefits

Benefits of the Community Health Needs Assessment

- Walks the community leaders through the assessment process

- Provides a snapshot of policy, systems and environmental change strategies - ‗assets‘ and ‗needs‘

- Frames and understands the current status of community health utilizing surveys and health data

- Allows communities to track progress over time so incremental changes can be noted and celebrated

- Allows stakeholders to work together in a collaborative process to survey the community and recognize identify needs.

- Offers suggestions and examples of policy and environmental change strategies to be implemented

- Provides feedback as change is initiated to support healthy living

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Campbell County Primary Service Area Identified by Patient Origin.

Campbell County, WY …..

Gillette is the county seat, centrally located ―Energy Capital of the Nation‖ Vast quantities of coal, oil and natural gas Over the past ten years, the City of Gillette‘s population increased by 48.1% to over 30,000 The median household income was $78,797 in 2009. This compares to Wyoming‘s MHI of $54,400 Campbell County Memorial Hospital is a

healthcare system serving parts of several adjacent counties. The hospital is a 90 bed, acute care community hospital with a 150 bed long term care facility and 13 specialty clinics. The hospital is governed by a publically elected Board of Trustees.

Insert picture from your community here

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CCMH Medical Service Area Identified by Zip Codes from Patients Served

Population and Future Projections Shared from Census Data

CCMH Medical Service AreaZip Code City County 2012 Pop 2017 Pop

82716 Gillette Campbell 19,767 22,015 82717 Gillette PO Box Campbell82718 Gilette Campbell 24,443 28,059 82725 Recluse Campbell 104 121 82727 Rozet Campbell 1,284 1,433 82731 Weston Campbell 234 258 82732 Wright Campbell 2,059 2,296 82720 Hulett Crook 977 967 82721 Moorcroft Crook 3,816 4,258 82730 Upton Weston 1,525 1,595 82729 Sundance Crook 2,312 2,440 82701 Newcastle Weston 5,583 5,813 82831 Arvada Sheridan 222 239 82723 Osage Weston 182 185

62,508 69,679

Campbell

County

Crook

County

Weston

County

0-17 13,557 1,704 1,624 18-44 19,076 2,062 2,323 45-64 12,606 2,209 2,170 65-74 1,608 703 634 75-84 764 310 374 85+ 280 117 165 Females 15-44 10,171 1,139 1,184 Median age 30 38 31

P.O. Box

County Demographics 2012

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CCMH Medical Service Area… Populations by Age/Change

2012-2017

2012

Est

Pct of Tot

Pop

2017

Proj

Pct of Tot

Pop

Pct Chg

2012-2017

Tot. Pop. 62,508 100.0% 69,679 100.0% 11.5%Pop. By Age

0-17 16,926 27.1% 18,840 27.0% 11.3% 18-44 23,524 37.6% 25,316 36.3% 7.6% 45-64 17,070 27.3% 18,761 26.9% 9.9% 65-74 2,965 4.7% 4,346 6.2% 46.6% 75-84 1,458 2.3% 1,715 2.5% 17.6% 85+ 565 0.9% 701 1.0% 24.1%

Tot. 0-64 57,520 92.0% 62,917 90.3% 9.4%Tot. 65 + 4,988 8.0% 6,762 9.7% 35.6%

Fem. 15-44 12,526 20.0% 13,418 19.3% 7.1%Source: Nielsen Claritas

CCMH Medical Service Area Population 2012, 2017

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CCMH Medical Service Area… Population by Race/Ethnicity

Campbell County Wyoming

Source: US Census Bureau & County QuickFacts

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CCMH Medical Service Area… Employers and Major Industry

Employer 2010 Employees 2011 Employees

Campbell County School District 1,659 2,259 Peabody Energy 1,936 2,098 Arch Coal 1,750 1,759 Campbell County Memorial Hospital 1,000 1,050 Cloud Peak Energy 1,588 805 Alpha Coal West 657 679 Campbell County 623 541 Wal-Mart 540 520 Buckskin Mining 346 370 City of Gillette 278 275 L&H Industrial 200 266 Cyclone Drilling, Inc. 201 207 Joy Global 146 160

SOURCE: Campbell County Economic Development Corporation

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CCMH Medical Service Area … Social and Economic Indicators

Campbell Co. Wyoming

Source: US Census Bureau State and & County QuickFacts

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Survey Process

411 responses (selected data in next slides) from surveys distributed randomly by participants in the CHNA group sectors including United Way, Woman Health Group, clinics, and a wide cross section of providers in Campbell County.

Additional thirty-seven qualitative responses from the Campbell County Chamber Commerce member businesses –shared with CHNA group.

The survey results data was included in discussion and identification of Community needs.

Some of the results were included in this final report.

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Survey Findings: (Community and Survey Monkey Combined)

Question and Total Number of Responses Responses by Importance

1. How rate our community as a healthy community (466)

Excellent (16) Very Good (47) Good (246) Fair (139) Poor (18)

2. How would you rate your own personal health? (466) Excellent (37) Very Good (193) Good (190) Fair (41) Poor (5)

3. In the following list, what do you think are the FIVE most important factors for a “healthy community?” (2317)

Access to Healthcare 267

Healthy behaviors and lifestyle 225

Good jobs and healthy economy 206

Access to primary care physician 152

Affordable health insurance 150

Strong family life 128

Smoke free in public places 121

Clean Environment 113

Good schools 109

Low crime rate/safe neighborhoods 108

Good place to raise children 89

Low adult death and disease rates 83

Mental health services 75

Religious or spiritual values 74

Chronic disease management (cancer, diabetes, heart disease etc.) 69

Affordable Housing 68

Affordable prescription drugs 68

Substance abuse services 57

Parks and recreation 55

Reliable health information 51

Low level of child abuse 32

Arts Cultural Events 13

Low infant deaths 4

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Question and Total Number of Responses

Responses by Importance

5. In the following list, what do you think are the FIVE most important “health problems” in our community? (Please check

the 5 that most apply) (2150)

Obesity 206

Suicide 188

Mental health problems 184

Smoking 180

Cancers 167

Substance abuse services 161

Heart disease and stroke 129

Domestic violence 118

Child abuse/ neglect 109

High blood pressure 100

Diabetes 96

Chronic pain 84

Aging problems (arthritis, hearing/ vision loss) 80

Teenage pregnancy 71

Respiratory/ lung disease 69

Dental services 68

Asthma 46

Motor vehicle crash injuries 36

Sexually transmitted infections (STI’s) 22

Rape/ sexual assault 21

Infectious disease (Hepatitis, TB, etc.) 9

Firearm related injuries 4

HIV/ AIDS 2

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6. In the following list, what do you think are the FIVE most important “risky behaviors” in our community? (Please check the 5 that most apply) (2153)

Alcohol abuse 374

Drug abuse 327

Tobacco use (chewing/ smoking) 251

Being overweight 249

Lack of exercise 189

Poor eating habits 174

Exposure to second hand smoke 92

Unsafe sex 91

Dropping out of school 90

Not going to the doctor for checkups 80

Not using birth control 65

Not using seat belts/ child safety seats 64

Not wearing bike/ motorcycle helmet 31

Not using safety equipment 22

Not using sunscreen 20

Not getting shots to prevent disease 18

Few safe, maintained bike/ walk trails 11

Vending machines in schools 5

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32. What type of medical insurance do you currently have? (Please check all that apply) (535)

33. In your opinion, who are the most vulnerable populations affected by the most pressing health needs in Campbell County? (1082)

Low income 239

Senior citizens 202

Uninsured 199

Working poor 176

Unemployed 86

Homeless 70

Youth 59

Hispanics 38

Other ethnic populations 13

Blue Cross/Blue Shield 286

Employer sponsored 171

Self pay 19

Medicare 18

None 13

Other: Cigna, Assurant, Aetna 12

VA/Military 10

State child coverage 6

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34. Identify the greatest barriers to accessing healthcare services in Campbell County? (2 choices) (801)

35. What are the greatest gaps in healthcare services for Campbell County residents? (804)

Cost of health services 277

Being uninsured 139

Appointments not available after hours/Weekends 120

Lack of available needed services in our area 115

Lack of knowledge of available resources 93

Transportation 23

Other:Lack customer service, confidence, trust 19

Language and/or cultural differences 15

Low income 145

Available healthcare resources 108

Dental care 106

Mental health 103

Prescription drug assistance 79

Substance abuse 73

Services for Medicare clients 71

Services for children 48

Different languages/cultures 27

Reproduction health 21

End-of-life care (hospice/palliative care) 12

Other: out of network, prevention 11

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36. What do you consider the top social concerns for Campbell County? (1056)

Substance abuse 272

Broken families 207

Domestic violence 129

Mental Health 105

Lack of social support 73

Lack of job/employment opportunity 68

Poverty 63

Crime/violence 57

Language/cultural barriers 35

Homelessness 24

Other: Low paying jobs, alcohol abuse, Liberalism, youth suicide attempts 22

Discrimination 12

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Survey – Demographics (Community and Survey Monkey Combined) Note – Employers survey was

included to address limitations of community survey which showed a bias of income level and female input.

What is your zip code? 82716 Gillette 82718 Gillette 82717 Gillette 82721 Moorcroft

82732 Moorcroft

82732 Wright

82727 Rozet

82701 Newcastle

82730 Upton

82729 Sundance

82731 Weston

82731 Arvada

82725 Recluse Total

% total 28% 61% 3% 1% - 3% 2% - -- - -- - - 100% Count 113 250 13 5 1 13 9 1 1 2 1 0 2 411

What is your age range? 18-25 26-35 36-45 46-55 56-65 66-75 75+

% total 3% 23% 24% 28% 19% 2% 1% 100% Count 12 90 96 109 76 9 4 396

What is your gender? Male Female

% total 24% 76% 100%

Count 91 313 404

With which ethnic group do you most identify?

African American Black

Asian Pacific Islander Hispanic Latino Native

American White

Caucasian Other

% total - - - 1% 97% 2% 100%

Count 0 1 2 5 392 4 404

What is the highest level of education you have completed?

Less then high school High School Diploma/GED

Associate Degree

Some College

College Degree or higher

% total - 12% 36% 52% 100%

Count 1 43 132 194 370

What is your marital status? Single Married Separated Divorced Widowed

% total 12% 75% 10% 3% 100%

Count 47 284 38 11 380

Do you have children living with the home?

No Yes Ages

% total 58% 42% 100%

Count 191 137 328

Do you provide care to an elderly family member?

No Yes

% total 79% 21% 100% Count 251 68 319

What is your annual family household income range?

Less than $14,000 $14,000-$24,999

$25,000-$34,999

$35,000-$49,999 $50,000-$74,999 $75,000-

$99,999 $100,000 or over

% total - 2% 3% 5% 25% 22% 43% 100%

Count 4 7 12 17 90 77 149 356

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Campbell County Chamber of Commerce Employer Surveys per Worksite.

Survey conducted by the Campbell County Chamber of Commerce

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Health Information

Campbell County Health Rankings: Information obtained from 2012 Rankings Survey (Wyoming Department of Health).

Results utilized to identify health needs of service area (see next 9 slides).

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Campbell County Health Rankings – 2012 Wyoming Rankings Study

Health Factor Campbell County

National Benchmark

Wyoming Rank (23)

Health Outcomes • Mortality • Premature death

7,765

5,466 8,092

13th

Morbidity • Poor or fair health • Poor physical health days • Poor mental health days • Low birth rate

13% 3.1 2.8

9.2%

10% 2.6 2.3

6.0%

13% 3.2 3.2

8.7%

14th

Health factors Health behaviors • Adult smoking • Adult obesity • Physical inactivity • Excessive drinking • Motor vehicle crash deaths (#) • Sexually transmitted infections • Teen births (# annual avg.)

24% 32% 27% 20% 34

490 51

14% 25% 21% 8% 12 84 22

21% 26% 24% 17% 28

369 45

16th 23rd

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Campbell County Health Rankings -- 2012

Health Factor Campbell County

US Benchmark Wyoming Rank (23)

Clinical Care • Uninsured • Preventable hospital stay • Diabetic screening • Mammogram screening

14% 106 70% 52%

11% 49

89% 74%

17% 63

73% 61%

13th

Social and Economic Factors • High school graduation • Some college • Unemployment • Children in poverty • Inadequate social support • Children in single-parent households • Violent crime rate

85% 59% 6.0% 9%

17% 24% 175

-

68% 5.4% 13% 14% 20% 73

80% 63% 7.0% 15% 16% 27% 234

4th

Physical Environment • Access to recreational facilities • Limited access to healthy foods • Fast food restaurants

11 2%

56%

16 0%

25%

13 6%

44%

15th

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Campbell County Health Status Key Comparisons

A. Risk Factors 95%

Confidence Interval

Campbell County (%) Population

Rank Order 23 Counties (1=best)

Wyoming (%)

US Median (%)

Overweight or obese 55.7-61.8 58.8 10th 62.2 63.0

Obesity BMI>30 22.4-27.5 24.8 18th 26.0 25.0

Very Obese BMI>35 6.3-9.5 7.7 16th - -

No leisure time physical activity 20.1-25.0 22.5 16th 21.7 22.6

Does not meet physical activity recommendations 42.8-50.6 46.7 17th 43.3 50.5

Inadequate fruit and vegetable consumption 78.6-84.3 81.6 22nd 75.6 75.6

Any alcohol in past month 56.8-62.6 59.7 19th - -

Binge drinking 15.4-20.5 17.8 20th 15.2 13.7

Heavy drinking 3.7-6.7 5.0 15th 4.9 5.2

Extreme drinking 4.1-8.9 6.1 20th - -

Drinking and driving 1.9-5.5 3.3 19th - -

Current cigarette smoking 23.0-28.4 25.6 19th 22.1 19.8

Current smokeless tobacco use 19.0-27.0 22.7 19th 17.6 7.8

Exposed to secondhand smoke at work 16.2-23.2 19.5 18th 15.7 -

No worksite policy prohibiting smoking 23.6-31.7 27.5 22nd 18.4 15.2

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A. Risk Factors …Continued 95%

Confidence Interval



Wyoming (%)

US Median (%)

No rule prohibiting smoking in the home 23.9-29.3 26.5 12th 21.8 25.0

Any of 6 CVD risk factors 81.0-87.4 84.5 6th - -

3+ CVD risk factors 22.2-28.5 25.2 9th 28.4 29.7

Does not always use seat belts 24.1-43.5 38.7 11th 35.4 20.1

Frequent sunburn (6 or more times past year) 7.3-12.6 9.6 21st 7.5 3.6

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B. Chronic Disease Factors 95%

Confidence Interval



Wyoming (%)

US Median (%)

Diabetes (told by their doctor had diabetes) 3.8-6.0 4.8 3rd 7.0 8.0

No awareness of community diabetic activities 58.8-64.6 61.7 9th 59.7 -

Current Asthma 5.8-8.7 7.1 10th 8.1 8.4

Arthritis 24.0-30.4 27.1 9th 27.9 27.5

High Blood Pressure 18.2-24.1 21.0 4th 25.1 27.8

High Cholesterol 23.8-30.2 26.9 6th 29.4 29.4

Cardiovascular Disease (CVD) 4.2-7.1 5.5 4th 7.0 8.0

Heart Disease 3.5-6.2 4.7 6th 5.7 6.4

Stroke 0.6-2.4 1.2 4th 2.0 2.6

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C. Lack of Health Care Access 95%

Confidence Interval



Wyoming (%) US Median (%)

No health coverage 14.0-18.8 16.2 9th 15.9 14.2

No personal doctor 23.8-29.4 26.5 17th 26.1 18.4

Unable to get care needed 8.5-12.0 10.1 3rd 12.3 12.3

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D. Nonuse of Preventative Services 95%

Confidence Interval



Wyoming (%)

US Median

(%)

No mammogram past 2 years (Women age 40+) 27.4-36.1 31.6 10th 30.5 23.5

No PAP smear within three years (Women with intact cervix) 11.1-17.6 14.0 4th 18.8 16.0

No cholesterol check past 5 years 20.1-27.3 23.5 7th 26.6 25.2

No Flu Shot past 12 months (Age 50+)

49.8-58.3 54.1 23rd 42.4 44.0

Never had a Sigmoidoscopy or Colonoscopy (Age 50+) 52.6-64.0 58.4 21st 47.4 42.9

No Blood Stool Test past 2 years (Age 50+) 70.9-80.8 76.2 5th - -

Never tested for HIV (Age 18-64) 65.2-71.2 68.2 11th 68.8 62.2

No recent check-up 24.6-31.6 27.9 9th 27.5 19.2

Not up-to-date (Age 50+) Preventative Health Services 75.3-84.2 80.1 23rd - -

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E. Oral Health 95%

Confidence Interval



Wyoming (%)

US Median (%)

No dental visit past year 27.3-34.5 30.7 6th 31.1 29.7

Lost 6 or more teeth (Age 45+) 21.1-28.6 24.7 7th 25.2 27.6

Lost any teeth 36.0-43.3 39.6 3rd - -

No dental cleaning past year 30.2-37.9 34.0 7th - -

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F. General Health Measures 95% Confidence

Interval



Wyoming (%)

US Median (%)

Fair or poor health status 10.3-14.1 12.1 9th 12.7 14.9

Frequent mental distress 8.3-12.3 10.1 19th 9.0 9.7

Frequent physical distress 7.0-10.2 8.5 7th - -

Frequent activity limitation 3.9-6.7 5.2 8th - -

Disability (―need use special equipment‖) 14.4-18.4 16.3 4th - -

Dissatisfaction with life 2.0-5.2 3.3 8th 3.7 5.5

Rarely get social or emotional support 4.2-8.0 5.8 13th 5.8 7.5

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Immediate Opportunities Identified by community

members $100,000 for flu shots could have a significant impact on

the workforce and community. How could this be extended to the community? What community members and business people would be interested in this project?

Using the Bountiful Baskets program more productively. Great health benefit to Gillette and Campbell County. What education do residents need to use the baskets, i.e., recipes and preparation techniques?

Using Gillette Public Access TV and social media (YouTube, Twitter, Facebook) to promote health education to residents

Utilize CCSD Culinary program as an educational tool

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Action Plan: Areas Where Campbell County is Doing Well

(strengths) as identified by CHNA group.

Cancer Care

Collaboration among the community

Funding for recreational opportunities in the community

Expanding wellness in the community—aggregate data is available

Good support for public health

Nutrition program in schools

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Action Plan: Areas for Improvements as identified by the CHNA

group.

Campbell County Identified Areas for Improvement through data collected and resident survey responses:

Alcohol and drug abuse

Tobacco use

Overweight/lack of exercise

Education about primary care physicians Gap between health screening and action/follow-up

Campbell County is rated last place or 23rd out of 23 counties in health behaviors (slide 17)

Access/availability of health screenings Reach the population that wasn‘t represented in the quantitative survey

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Priorities Identified by the CHNA group

1.Behavioral Heath Concerns: Suicide, Alcohol and Drug Abuse, and Tobacco Use 2.Implementation of the School based Health Clinic partnership with CCSD, CCMH 3.Increase the number of residents receiving vaccinations/flu shots: funding, collaboration, target prevention, screening tests, immunizations 4.Improve access to care for: Dental screening for Medicaid recipients , uninsured, Veterans, Schools 5.Encourage primary care providers to provide care for Medicare recipients and growing older populations. 6.Decrease time gap between health screening and follow-up 7.Coordination and communication of services available in Campbell County 8.Increase availability of health education for chronic care disease, screening/management 9.Increase availability of wellness clinic activities 10.Improve physical activity/nutrition education for residents.

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Action Plan: Goals Identified by CHNA Group

Goals

1. Improve Community Health through Prevention, Wellness and

access to Education by reaching an additional 10% of Campbell

County residents by 2016.

2. Coordinate and enhance ongoing wellness prevention activities in

all sectors of community and Campbell County.

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Action Plan: Strategies Identified by CHNA Group

1. Develop a Wellness Council to act as a clearinghouse to communicate and coordinate services through task forces to work on specific identified needs, track data and implement projects.

2. Implement the School Based Health Clinic, a partnership with CCSD to provide primary care and mental health counseling services to students in Campbell County and their pre-school siblings. The SBHC will also work to implement prevention strategies with children and families. This program could provide continuity for healthcare services with the community connected through the children.

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Action Plan: Identified by the CHNA Group

# Priority Strategy Champion Annual Goal Three Year Goal

1 Behavioral Health Inform the community of children and adult behavioral/mental health services through the Wellness Council and marketing to every sector.

Wellness Council Members Peter Edis, Director

Address prevention activities including stop smoking, obesity, diabetes and suicide prevention, alcohol and drug use, and screening and treatment options.

20% of Campbell County children and adult behavioral health population have increased access to services.

2 School-Based Health Care Center for Children and families

Launch a School-Based Health Care Center utilizing grant funding.

Kipp Farnum, CCSD Peter Edis, CCMH Team include CC School District, College and private school members, Hospital Administration.

Implement SBHHC by January 2014 30 medical referrals /day 9.2 Behavioral Health referrals/day

Improve access to primary care for children enrolled in CCSD. Ongoing internet-based evaluation system

3 Vaccinations/influenza Increase number of flu shots for all Campbell county residents through business partnerships and education about immunization.

Della Amend, Public Health Department Wellness council

Increase number of flu shots and immunizations by 10% over 2012 numbers (8000)

Immunize an additional 1,000 eligible residents per year who have not had a flu shot in the past 12 months

4 Increase Medicare and Medicaid access to health care

Identify and Understand barriers to access . Utilize SBHC to register eligible children for Medicaid, Kidcare

Wellness council to identify a task force of Campbell County Physicians and non-physicians

Develop a recommendation through the Wellness Council to improve access for all residents

Implement recommendation and measurement tool.

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Action Plan

# Priority Strategy Champion Annual Goal Three Year Goal

5 Decrease gap from health screening to Follow-up

Identify gap between screening and follow-up services to provide access and allow for timely treatment. Provide information on preventative care

Wellness Council Complete a process to identify barriers between screening and timely care.

Prioritize and address barriers between screening and treatment.

6 Coordination and communication of services available for Campbell Co. residents.

Develop a working Wellness Council comprised of members of all sectors of the community to enhance coordination and communication of services to residents. Wellness Council should be affiliated with a nonprofit organization in order to do fundraising.

Wellness Council – comprised of community members

1. Select a community cross-section of 10-15 members and a community nonprofit partner.

2. Wellness Council to develop statement of purpose, bylaws, program of work to include communication and coordination of health information, events and resources in the community.

Evaluate preventable health risk behavior statistics and compare with baseline data from 2013 CHNA.

7 Health and prevention education offerings

Funding sources identified to provide health education projects including grants, sponsors, etc.

Wellness council Secure event and project funding based upon the annual program of work.

Health Education projects reach an additional 20% of the population including children, over age 50, Medicare, Medicaid and uninsured.

8 Increase physical activity/nutrition education for school-age children

Ensure students are physically active during school physical education classes. Provide access to a broad range of competitive and noncompetitive activities through the school year and summer education emphasizing the health benefits.

School Administration, Wellness Council, Hospital Team and SBHC.

School-age children have greater access to physical activities

20% of school age children have improved access to physical activities and educational opportunities to comprehend the benefits of physical activity.

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Next Steps in 2013

Hospital and Campbell County Public Health approval obtained in August 2013.

The Campbell County Health Action Plan posted on CCMH Website including which strategies the hospital will identify as their priorities.

Recommend that a representative from each sector also post the Community Action Plan.

Present Action Plan to Campbell County Healthcare Foundation for discussion on Wellness Council.

Recommend that a PowerPoint Presentation be developed to use with media, town hall presentations, service groups, and other community forums.

Evaluate and report progress annually.

43

Appendix… List of CHNA Community Participants

List of Sector Participants: Project Steering Committee 1. Andy Fitzgerald, CCMH CEO 2. Veronica Taylor, CCMH Infection Prevention, Professional Development, & Disaster Preparedness 3. Karen Clarke, CCMH Community Relations and Marketing 4. Della Amend, RN, Director Campbell County Public Health 5. Sandy Champion, Facilitator Community at Large Sector

Gillette Rotary Club Community at Large

Campbell County Emergency Management Community at Large

Wyoming Comprehensive Cancer Control Coalition Community at Large

Gillette Police Department Community at Large

Campbell County Commissioner Community at Large

Campbell County Administrator Community at Large

Pioneer Manor Advisory Board Community at Large

44


Health Sector

CCMH Walk-In CLinic Healthcare Sector

CCMH VP Patient Care Services Healthcare Sector

CCMH Behavioral Health Services Healthcare Sector

Campbell County Public Health, Director Healthcare Sector

CCMH Home Health and Hospice Healthcare Sector

Physician – CC Public Health Officer Healthcare Sector

Pioneer Manor Administrator Healthcare Sector

Gillette Reproductive Health Healthcare Sector

CCMH Recruitment Healthcare Sector

CCMH Patient Relations Healthcare Sector

CCMH Wright Clinic Healthcare Sector

CCMH Medical Library Healthcare Sector

Coalition Family Health Center Healthcare Sector

CCMH Quality and Risk Management Healthcare Sector

Medicap Pharmacy Healthcare Sector

CCMH Board of Trustees Healthcare Sector

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Work Site Sector

FourFront Design Worksite Sector

Adecco Worksite Sector

Sign Boss Worksite Sector

Basin Electric Power Cooperative Worksite Sector

Campbell County Chamber of Commerce President Worksite Sector

Cloud Peak Energy Worksite Sector

First National Bank and CC legislator Worksite Sector

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Schools Sector Institutions/Organizations

Children’s Developmental Services of Campbell County School Sector

Campbell County School District administrator School Sector

Campbell County School District, school nurse School Sector

John Paul II Catholic School School Sector

Gillette College School Sector

United Way of Campbell County Institutions/Organizations Sector

Youth Emergency Services Institutions/Organizations Sector

Substance Abuse Advisory Council Institutions/Organizations Sector

Youth Emergency Services Institutions/Organizations Sector

Wright Community Assistance Institutions/Organizations Sector

Campbell County Healthcare Foundation Institutions/Organizations Sector

Campbell County Healthcare Foundation Institutions/Organizations Sector



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